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5 Written Questions

5 Matching Questions

  1. Clove Oil
  2. Kava (Piper methysticum)
  3. Ginkgo (Ginkgo biloba) Side Effects
  4. Ginkgo (Ginkgo biloba)
  5. Ginseng (American or Asian (Panax) ginseng)
  1. a Use: topically for dental pain
    -Shown to have similar efficacy to benzocaine
    -Dip a cotton swab in the clove oil and apply it to the exposed part of the tooth
    -Avoid tongue due to unpleasant taste
    -Also used for flavoring, cough, sore throat, skin infections (acne, warts, scars)
  2. b Dementia, intermittent claudication, peripheral arterial insufficiency, sexual dysfunction
  3. c anxiety, improve sleep
    (Don't mix with things that will cause CNS depression)
  4. d Increasing stamina, regulating glucose, aphrodisiac
  5. e May increase risk of bleeding - use caution with anticoagulants or NSAIDS, discontinue 2 weeks before surgery, risk of serotonin syndrome

5 Multiple Choice Questions

  1. headache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess

    Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids
  2. St. John's Wort
    Garlic
    Ginkgo
    Ginger
    Ginseng
    Glucosamine
    Echinacea
    Kava
    Valerian
    Black Cohosh
  3. sleep, reduces nervousness, stress, anxiety
  4. Will produce exaggerated effects:

    Antidepressants (SSRI's, TCA's or MAOI's)
    Some opioids (tramadol, meperidine, dextromethorphan)
    Amphetamine, cocaine
    MDMA (ecstacy), LSD, psilocybin
    Triptans (migraine)
    Lithium
    Buspirone
  5. topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)

5 True/False Questions

  1. Black CohoshSeveral cases of hepatitis and liver failure
    Watch for symptoms - abdominal pain, jaundice, dark urine
    Headaches, stomach discomfort

          

  2. Serotonin Syndromeosteoarthritis, often in combo with chrondroitin

          

  3. Evening Primrose Oil (Oenothera biennis)-Periodontitis: weak evidence
    -Eczema: modest benefits
    -Cardiovascular: limited data appears supportive
    -PMS: no likely effect
    -Menopause: no effect
    -Peripheral Neuropathy: benefited patients with well-controlled diabetes

          

  4. Aloe (Aloe vera or Aloe barbadenis) Side EffectsAloe LATEX or "drug aloe" comes from the glands in the leaf surface and has strong laxative properties, leading to side effects including severe abdominal cramping and fluid loss and is not recommended.

          

  5. Echinacea (purpura, angustifolia)Treatment of early colds, or topically for psoriasis, eczema and burns

          

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